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Fleet Board Vehicle Addition Request Form <br /> Date: 11/5/07 Dept: -Fire & EMS <br /> Dept Contact: Jeff Narin <br /> 1995 Freightliner Ambulance <br /> Vehicle Type: <br /> Justification Additional reserve medic unit needed for call volume <br /> for. Request: <br /> Requested "in First fiscal year these NA <br /> service" date: 1/1/08 dollars are requested for: <br /> Initial Purchase Price: $15,000 Fund: 592 <br /> If General Fund, will this vehicle need to be put into <br /> the replacement schedule (funded by the General Yes No X <br /> Fund) for future ongoing replacement: <br /> Do you request that the Fire budget baseline be <br /> adjusted for O&M expenses for this vehicle: Yes No _X <br /> Date of Fleet ld / 7 / ~ Date of Executive <br /> Board Approval: Manager Approval: / / <br /> Fleet Mgr's Signature: .~.J <br /> <br /> Exec Mgr's Signature: <br /> Submit this completed form to your department's Fleet Advisory Board member. <br /> <br />